Organization Name: | BIOS CORPORATION |
NPI Number: | 1003022294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI MOUSE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 309 E Dewey Ave Sapulpa |
State: | OK US |
Postal Code: | 740664301 |
Phone Number: | 9182278390 |
Fax Number: | 9182278378 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |